NPIMap

Organization Active NPI

Coastal Rehab, LLC

  • Occupational Therapist
  • Cape Elizabeth, ME
National Provider Identifier
1962465799
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1728
Legal business name
COASTAL REHAB, LLC
Practice address
2 Davis Point Lane
Suite 1a
Cape Elizabeth, ME 04107
Phone
(207) 767-9773
NPI assigned
Apr 11, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nathalie Descheneaux, OTR/L
Title
Owner
Phone
(207) 767-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT1728 Primary

Addresses

Primary practice location

2 Davis Point Lane
Suite 1a
Cape Elizabeth, ME 04107

Mailing address

2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620
Phone (207) 767-9773

National Provider Directory

National Provider Directory

Locations

2 Davis Point Ln
Unit 1A
Cape Elizabeth, ME 04107
Phone (207) 767-9773

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1962465799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN",
            "address_2": "SUITE 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072620",
            "telephone_number": "207-767-9773",
            "fax_number": "207-541-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LANE",
            "address_2": "SUITE 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "04107",
            "telephone_number": "207-767-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "DESCHENEAUX",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-767-9773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "OT1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.